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49 U.S.C. 106(f), 44701-44703, sec. 2307 of Pub. L. 114-190, 130 Stat. 615 (49 U.S.C. 44703 note); sec. 828 of Pub. L. 118-63, 138 Stat. 1330 (49 U.S.C. 44703).
Docket FAA-2016-9157, Amdt. 68-1, 82 FR 3165, Jan. 11, 2017, unless otherwise noted.
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(a) General. An individual who has met the qualifications to operate an aircraft under § 61.113(i) of this chapter and is seeking to act as a pilot in command or serve as a required flightcrew member under that section must have completed the process for obtaining an Authorization for Special Issuance of a Medical Certificate for each of the following:
(1) A mental health disorder, limited to an established medical history or clinical diagnosis of—
(i) A personality disorder that is severe enough to have repeatedly manifested itself by overt acts;
(ii) A psychosis, defined as a case in which an individual—
(A) Has manifested delusions, hallucinations, grossly bizarre or disorganized behavior, or other commonly accepted symptoms of psychosis; or
(B) May reasonably be expected to manifest delusions, hallucinations, grossly bizarre or disorganized behavior, or other commonly accepted symptoms of psychosis;
(iii) A bipolar disorder; or
(iv) A substance dependence within the previous 2 years, as defined in § 67.307(a)(4) of this chapter.
(2) A neurological disorder, limited to an established medical history or clinical diagnosis of any of the following:
(i) Epilepsy;
(ii) Disturbance of consciousness without satisfactory medical explanation of the cause; or
(iii) A transient loss of control of nervous system functions without satisfactory medical explanation of the cause.
(3) A cardiovascular condition, limited to a one-time special issuance for each diagnosis of the following:
(i) Myocardial infarction;
(ii) Coronary heart disease that has required treatment;
(iii) Cardiac valve replacement; or
(iv) Heart replacement.
(b) Special rule for cardiovascular conditions. In the case of an individual with a cardiovascular condition, the process for obtaining an Authorization for Special Issuance of a Medical Certificate shall be satisfied with the successful completion of an appropriate clinical evaluation without a mandatory wait period.
(c) Special rule for mental health conditions.
(1) In the case of an individual with a clinically diagnosed mental health condition, the ability to operate an aircraft under § 61.113(i) of this chapter shall not apply if—
(i) In the judgment of the individual's State-licensed medical specialist, the condition—
(A) Renders the individual unable to safely perform the duties or exercise the airman privileges required to operate an aircraft under § 61.113(i) of this chapter; or
(B) May reasonably be expected to make the individual unable to perform the duties or exercise the privileges required to operate an aircraft under § 61.113(i) of this chapter; or
(ii) The individual's driver's license is revoked by the issuing agency as a result of a clinically diagnosed mental health condition.
(2) Subject to paragraph (c)(1) of this section, an individual clinically diagnosed with a mental health condition shall certify every 2 years, in conjunction with the certification under § 68.3(b)(3), that the individual is under the care of a State-licensed medical specialist for that mental health condition.
(d) Special rule for neurological conditions.
(1) In the case of an individual with a clinically diagnosed neurological condition, the ability to operate an aircraft under § 61.113(i) of this chapter shall not apply if—
(i) In the judgment of the individual's State-licensed medical specialist, the condition—
(A) Renders the individual unable to safely perform the duties or exercise the airman privileges required to operate an aircraft under § 61.113(i) of this chapter; or
(B) May reasonably be expected to make the individual unable to perform the duties or exercise the privileges required to operate an aircraft under § 61.113(i) of this chapter; or
(ii) The individual's driver's license is revoked by the issuing agency as a result of a clinically diagnosed neurological condition.
(2) Subject to paragraph (d)(1) of this section, an individual clinically diagnosed with a neurological condition shall certify every 2 years, in conjunction with the certification under § 68.3(b)(3), that the individual is under the care of a State-licensed medical specialist for that neurological condition.
[Docket FAA-2016-9157, Amdt. 68-1, 82 FR 3165, Jan. 11, 2017, as amended by Docket FAA-2021-1040, Amdt. 61-152, 87 FR 71238, Nov. 22, 2022]